Mid-Atlantic serves Washington DC, Maryland, and Virginia
have merged with Two Tiny Hands to be able to provide support
and comfort to the forgotten mourners, the siblings of babies
who have died. www.twotinyhands.com
spring summer 2011
fall winter 2011
Safe Sleep Guidelines from the American Academy of Pediatrics
Epidemiologic studies have not demonstrated any bed-sharing
situations that are protective against SIDS or suffocation.
Specific circumstances substantially increase the risk of
SIDS or suffocation while bedsharing. One example:
never bedshare with infants under 3 months of age, even if
the parents are non-smokers.
is no evidence that bumper pads prevent injury in young infants,
but they do increase risk of suffocation; therefore
the AAP does not recommend their use.
if exclusive, is protective against SIDS,
but any breastfeeding is better than none, and is encouraged.
Sitting devices, such as car seats, strollers, infant
swings, infant carriers, and infant slings, are not recommended
for routine sleep in the hospital or at home or in child care
Infants younger than 4 months are particularly at risk for
suffocation or air-way obstruction.
There is insufficient evidence to recommend the use
of a fan as a SIDS risk-reduction strategy.
Expand the national Back to Sleep campaign to include recommendations
on how to prevent deaths due to suffocation and other accidental
deaths during sleep.
Below is a summary of all recommendations
from the AAP Task Force on Sudden Infant Death Syndrome:
Back to sleep for every sleep.
Use a firm sleep surface.
Room-sharing without bed-sharing is recommended.
Keep soft objects and loose bedding out of the crib.
Pregnant women should receive regular pre-natal care.
Avoid alcohol and illicit drug use during pregnancy and
Breastfeeding is recommended.
Consider offering a pacifier at nap time and bedtime.
Do not use home cardio-respiratory monitors as a strategy
for reducing the risk of SIDS.
Expand the national campaign to reduce the risk of
SIDS to include a major focus on the safe sleep environment
and ways to reduce the risks of all sleep-related infant
deaths, including SIDS, suffocation, and other accidental
deaths; pediatricians, family physicians, and other primary
care providers should actively participate in this campaign.
Infants should be immunized in accordance with recommendations
and the Centers for Disease Control and Prevention.
Avoid commercial devices marketed to reduce the risk of
Supervised, awake tummy time is recommended to facilitate
development and to minimize
development of positional plagiocephaly.
Health care professionals, staff in newborn nurseries and
NICUs, and child care providers should endorse the SIDS
risk-reduction recommendations from birth.
Media and manufacturers should follow safe-sleep guidelines
in their messaging and advertising.
Continue research and surveillance on the risk factors,
causes, and pathophysiological mechanisms of SIDS and other
sleep-related infant deaths, with the ultimate goal of eliminating
these deaths entirely.